Provider Demographics
NPI:1679862866
Name:ALVAREZ, LESLIE ANN (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LESLIE ANN
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3614 CARROLLWOOD PLACE CIR
Mailing Address - Street 2:APT. 202
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-3070
Mailing Address - Country:US
Mailing Address - Phone:706-980-5993
Mailing Address - Fax:
Practice Address - Street 1:6120 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-3909
Practice Address - Country:US
Practice Address - Phone:727-264-8819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT14558225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist